PFI: G836 Secondary Site ID: 0000 Certification Type: WAIVER Director: Craig W Richards, M.D. Phone: (518) 483-2780 Fax: Address: 2265 State Rte 11, North Bangor, NY 12966 County: Franklin Country: United States Single or Primary Contact: Brenda Spaulding Contact Phone: (518) 483-2780 CLIA #: 33D2308246
PFI: G837 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael G D'Urso, M.D. Phone: (518) 534-2805 Fax: (518) 497-6623 Address: 1301 Clinton Mills Rd, Churubusco, NY 12923 County: Clinton Country: United States Single or Primary Contact: Allison Poupore Contact Phone: (518) 534-2805 CLIA #: 33D2302983
PFI: G839 Secondary Site ID: 0000 Certification Type: WAIVER Director: Jeremy T Cushman, M.D. Phone: (585) 723-8425 Fax: Address: 1 Long Pond Rd, Rochester, NY 14612 County: Monroe Country: United States Single or Primary Contact: Kari Burton Contact Phone: CLIA #: 33D2303934
PFI: G846 Secondary Site ID: 0000 Certification Type: PPMP Director: Matthew G Davis, M.D. Phone: (716) 415-8380 Fax: (585) 288-0893 Address: 1491 Sheridan Dr - Suite 600, Buffalo, NY 14217 County: Erie Country: United States Single or Primary Contact: Jean Kelly Contact Phone: (716) 415-8380 CLIA #: 33D2302920
PFI: G851 Secondary Site ID: 0000 Certification Type: PPMP Director: Eric B Stamberg, M.D. Phone: (845) 443-8725 Fax: (845) 347-6141 Address: 1240 Ulster Ave, Kingston, NY 12401 County: Ulster Country: United States Single or Primary Contact: Dawn Dambach Contact Phone: (203) 702-0888 CLIA #: 33D2306192
PFI: G854 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zachary Z Brener, M.D. Phone: (718) 372-4500 Fax: (929) 363-9452 Address: 3035 W 24th St, Brooklyn, NY 11224 County: Kings Country: United States Single or Primary Contact: Miles Davis Contact Phone: (800) 975-5201 CLIA #: 33D2315315
PFI: G855 Secondary Site ID: 0000 Certification Type: WAIVER Director: Deborah L. Funk Valois, M.D. Phone: (518) 352-7710 Fax: (518) 352-7711 Address: 3454 State Rte 28, Blue Mountain Lake, NY 12812 County: Hamilton Country: United States Single or Primary Contact: Timothy Leach Contact Phone: (518) 636-8336 CLIA #: 33D2303281
PFI: G856 Secondary Site ID: 0001 Certification Type: WAIVER Director: Douglas H Girling, D.O. Phone: (518) 761-3825 Fax: Address: 98 Broad St, Glens Falls, NY 12801 County: Warren Country: United States Single or Primary Contact: Issachar Modert Contact Phone: (518) 761-3822 CLIA #: 33D2303283